Analysis on Medical Income of Shanghai Based on Degree of Structure Variation

doi:10.7664/CHE20170817

Abstract：To explore the trends in change and characteristics of medical income structure in Shanghai in recent years,find out the main items that affected the medical income structurechange,optimize the medical income structure,find the reasons for the unreasonable growth of medical expenses and provide theoretical support for effective control of medical expenses.Methods:Collecting medical income date of Shanghai from 2012 to 2015 and using the index of structural change value,degree of structure variation and structural contribution rate to conduct the analysis.Results:The degree of structure variation of outpatient income was 7.88％ from 2012 to 2015,the income of western medicine,Chinese medicine,herbal medicine,assay and treatment were the main items that caused the changes in outpatient income structure.The degree of structure variation of inpatient income was 13.64％ from 2012 to 2015,health material income,western medicine income,Chinese medicine income,surgical income,laboratory income were the main items that affected the medical income.Conclusion:The income of pharmaceuticals and health materials were the main item influencing the medical income.The proportion of inspection laboratory income was relatively high while the labor service income was relatively low.The management department should further strengthen the supervision of pharmaceuticals and medical materials,improve the labor service income of medical personnel and further strengthen the optimization for medical income structure.